“…Various mechanisms including axonal remodeling, changes in dendritic spines, dendritic atrophy, synaptic plasticity (eg, synaptogenesis, synapse elimination, long-term potentiation/depression, or synapse turnover), changes in cell size, changes in oxygenation, and neural or glial cell genesis have been suggested to contribute to experience-dependent cortical plasticity. [44][45][46][47][48][49][50] Therefore, future studies with different methodology will be necessary to examine which of these potential mechanisms contribute to structural brain changes in COPD.…”